Form DHS-6929-ENG Death or Serious Injury Report - Minnesota

Form DHS-6929-ENG Death or Serious Injury Report - Minnesota

What Is Form DHS-6929-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DHS-6929-ENG?
A: DHS-6929-ENG is a Death or Serious Injury Report form used in Minnesota.

Q: Who is required to complete DHS-6929-ENG?
A: Certain individuals, such as health care providers and facilities, are required to complete DHS-6929-ENG.

Q: What is the purpose of DHS-6929-ENG?
A: The purpose of DHS-6929-ENG is to report deaths or serious injuries that occur in the state of Minnesota.

Q: What information is required to complete DHS-6929-ENG?
A: DHS-6929-ENG requires information such as the date and location of the incident, as well as details about the person who died or was injured.

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Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS-6929-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6929-ENG Death or Serious Injury Report - Minnesota

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  • Form DHS-6929-ENG Death or Serious Injury Report - Minnesota, Page 1
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